Provider Demographics
NPI:1598344343
Name:MIRAMAR REHABILITATION, INC
Entity Type:Organization
Organization Name:MIRAMAR REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDONA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-319-0599
Mailing Address - Street 1:2499 CENTERGATE DR APT 202
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7236
Mailing Address - Country:US
Mailing Address - Phone:786-319-0599
Mailing Address - Fax:
Practice Address - Street 1:3705 W 20TH AVE STE 125
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4531
Practice Address - Country:US
Practice Address - Phone:786-476-1437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty